Brittney Ball, D.D.S.
Individual provider Active NPI Dentist · Springfield, MO
NPI 1821539628 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1821539628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2016017702 (MO)
- Practice address
- 3550 S Campbell Ave
Springfield, MO 65807-5183 - Phone
- (417) 887-4021
- NPI assigned
- Mar 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170622001054 | MO | Order and Referring Only - Dentist |
5092083626 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giants SC Dental | General Practice | Current |
Accepting new patients |
| 3B DDS LLC | General Practice | Current |
Accepting new patients |
Locations
3550 S Campbell Ave
Springfield, MO 65807
Phone (417) 887-4021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2016017702 | MO | Yes |
| General Practice Dentistry | 1223G0001X | 2016017702 | MO |
Addresses
Primary practice location
3550 S Campbell Ave
Springfield, MO 65807-5183
Mailing address
3550 S Campbell Ave
Springfield, MO 65807-5183
Phone (417) 887-4021
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.